Several laparoscopic procedures are available to enhance fertility in couples looking to conceive. The term “enhance” is a broad term and includes diagnostic, stimulatory, and therapeutic modalities. This is minimally invasive surgical technique is associated with faster recovery and better patient outcomes. Laparoscopic surgery uses the aid of a laparoscope, a thin rod with a camera attached, to visualize the abdominal and pelvic cavities through tiny keyhole incisions.
• Shorter hospital stay
• Faster recovery
• Less pain
• Less scar (5mm to 10mm)
• Can return to normal activities within one to six weeks depending on the surgery
• Minimal chance of infection
• Minimal blood loss
Diagnostic Hystero Laparoscopy
This minimally invasive procedure is performed for infertility workups due to its effectiveness in giving a conclusive diagnosis.
A specialized instrument called the hysteroscope is introduced through the vagina to visualize inside the uterus This process gives us information about the endometrium, the fallopian tubal openings, and the endocervical canal.
A tiny incision is made at the belly button to visualize the uterus, fallopian tubes, and ovaries. A dye is passed through the cervix to check the patency of the fallopian tubes.
Uterine Septal Resection
A septum is a thick fibrous band present within the uterine cavity, dividing the uterus into two halves. Several first and second trimester abortions may occur due to the presence of a septum. This procedure has shown an 81% increase in the pregnancy rate.
Fibroids are non-cancerous tumors present in the female genital tract. About 80% of menstruating women have them but only about 10% have issues due to fibroids and require further management.
What are the issues caused by fibroids?
• Heavy menstruation
• Pelvic pain and discomfort
• Frequent urination
• Severe back pain
The endometrium (inner lining of the uterus) gets deposited in other regions of the pelvis causing severe adhesions. These adhesions are responsible for pain, bleeding, and infertility. It is still unclear how the disease progresses and spreads.
What are the symptoms of endometriosis?
• Painful menses
• Painful intercourse
• Pain while passing stool
• Pain while urinating
• Lower back pain
Ovarian cysts, for the most part, are harmless fluid-filled sacs arising from the ovary. They are quite commonly encountered during an ultrasound scan.
Some of the symptoms include
• Menstrual abnormalities
• Pelvic pain
• Heaviness in the abdomen
• Nausea, Vomiting, and bloating
• Pressure on bowel and bladder
• Difficulty in passing urine.
Adenomyosis is a condition where the endometrial stroma (lining of the uterus) invades the layers of the uterine musculature making it bulky. Adenomyosis is also associated with infertility among other things.
Tubal re cannulation
Some couples have a change of heart and plan to conceive another child, tubal recannulation is a process of reopening the fallopian tubes after they have been sterilized. There is a chance of conception up to 70% after cannulation.
Hydrosalphinx is a condition where the fallopian tubes are damaged and filled with fluid. A laparoscopic tubal clipping is done for these patients, this prevents the leakage of fluid into the uterine cavity and might improve implantation rates during an embryo transfer.
Poly Cystic Ovarian (PCOD) drilling
Laparoscopic ovarian drilling will trigger ovulation in women with polycystic ovaries and resistant to ovulation medication. We individualize the number of punctures depending on the size of the ovaries, the patient’s history, and several other factors.